NPI | 1326684689 |
---|---|
Doing Business As | KIRKSVILLE PHARMACY |
Entity Type | Organization |
Authorized Contact | KEVIN ALAN MCCULLOUGH Owner 417-876-3313 |
Organization Subpart ? | No |
Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
Enumeration Date | 2019-11-21 |
Last Update Date | 2019-12-12 |